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NORTH SHORE - LIJ MEDICAL GROUP / LONG ISLAND CARDIOVASCULAR
NPI 1972941953
Internal Medicine - Cardiovascular Disease in Deer Park, NY

Active since June 12, 2013
1630 DEER PARK AVE, DEER PARK, NY 11729(631) 242-6166(631) 242-0728 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2022, Jul 8, 2022 (2 updates tracked since 2022).

About North Shore - Lij Medical Group / Long Island Cardiovascular NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE - LIJ MEDICAL GROUP / LONG ISLAND CARDIOVASCULAR (NPI 1972941953) is a healthcare organization registered as a cardiovascular disease in Deer Park, New York and active in the NPI registry since June 2013. The organization lists Michele Cusak, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972941953
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTH SHORE - LIJ CARDIOLOGY AT DEER PARK PC
Location Address1630 DEER PARK AVEDeer Park, NY 11729-5210
Mailing Address972 Brush Hollow Rd, Finance 5th FloorWestbury, NY 11590-1740 · (516) 876-6065
Phone(631) 242-6166
Fax(631) 242-0728
Organization SubpartNo
Authorized OfficialMichele CusakCfo · (516) 465-8162
Enumeration DateJune 12, 2013
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1972941953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
1630 DEER PARK AVE, Deer Park, NY 11729
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Other Names 1

Doing Business AsNorth Shore - Lij Medical Group / Long Island Cardiovascular

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore - Lij Medical Group / Long Island Cardiovascular is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to North Shore - Lij Medical Group / Long Island Cardiovascular, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Desiree Dennis, NP
Nurse Practitioner
NPI 1215690425
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOSSame address
Lance Lefkowitz, M.D.
Cardiovascular Disease (Cardiology)
NPI 1528267523
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOS✔ Accepts MedicareSame address
Guillermo San Roman, MD
Cardiovascular Disease (Cardiology)
NPI 1386668499
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOS✔ Accepts MedicareSame address
Abraham Schneider, MD
Cardiovascular Disease (Cardiology)
NPI 1548284664
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOS✔ Accepts MedicareSame address
Jerry Sokol, MD
Cardiovascular Disease (Cardiology)
NPI 1992729925
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOS✔ Accepts MedicareSame address
Adam Kupersmith, M.D.
Cardiovascular Disease (Cardiology)
NPI 1134279151
1630 DEER PARK AVE
Deer Park, NY 11729
(631) 242-6166
✔ PECOS✔ Accepts MedicareSame address
Monica Votra, NP
Nurse Practitioner
NPI 1649509274
301 E MAIN ST SOUTHSIDE HOSPITAL - DEPARTMENT OF CARDIOLOGY
Bay Shore, NY 11706
(631) 968-3171
✔ PECOS4.8 mi
Daniel Rodriguez, M.D
Cardiovascular Disease (Cardiology)
NPI 1184913980
4802 10TH AVE MAIMONIDES MEDICAL CENTER
Brooklyn, NY 11219
(718) 283-6000
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore - Lij Cardiology At Deer Park PC's NPI number?

The NPI number for North Shore - Lij Cardiology At Deer Park PC is 1972941953. It was assigned to this organization in the NPPES registry on June 12, 2013. The provider is doing business as North Shore - Lij Medical Group / Long Island Cardiovascular.

Where is North Shore - Lij Cardiology At Deer Park PC located?

North Shore - Lij Cardiology At Deer Park PC is located at 1630 Deer Park Ave, Deer Park, NY 11729. The listed phone number is (631) 242-6166.

What is North Shore - Lij Cardiology At Deer Park PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is North Shore - Lij Cardiology At Deer Park PC enrolled in Medicare?

Yes. North Shore - Lij Cardiology At Deer Park PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore - Lij Cardiology At Deer Park PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to North Shore - Lij Cardiology At Deer Park PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (6) and Nurse Practitioner (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Shore - Lij Cardiology At Deer Park PC was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.